kanzi monkey

kanzi monkey

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All Content by kanzi monkey

  1. RN would like other opinions from nurses on this awkward MD/insurance issue

    kanzi monkey replied to pensivern's topic in General Nursing

    Why shouldn't concerns be addressed in an annual PE? I understand that something like a cough (one that's new) or UTI symptoms/treatment are considered episodic. But PND is a standard question to ask...

  2. RN would like other opinions from nurses on this awkward MD/insurance issue

    kanzi monkey replied to pensivern's topic in General Nursing

    These codes refer to the complexity of the patient--not the treatment they are billing for. A "level 2" visit is not necessarily "cheaper" than a "level 4 visit". That's my understanding at any

  3. RN would like other opinions from nurses on this awkward MD/insurance issue

    kanzi monkey replied to pensivern's topic in General Nursing

    No one has any idea if it was of "real importance" because no one did a physical exam. Also, lactobacillus and saline nasal spray are available OTC. Neither is standard treatment for diagnoses of PND...

  4. RN would like other opinions from nurses on this awkward MD/insurance issue

    kanzi monkey replied to pensivern's topic in General Nursing

    Wow. This is hilarious, but not at all in a good way. (Dark humor). How 'bout this--why doesn't your Dr. actually PHYSICALLY EXAMINE you for your, ahem, annual physical exam? Then he might actually...

  5. What the heck is going on?!

    kanzi monkey replied to Nire83's topic in General Nursing

    It MAY be just a coincidence, but it's probably not. If your practice TRULY just had this "wave" of type 1 diagnoses, there is probably a reason for it. The explanation above seems possible. Or maybe...

  6. Moving from primary care into specialty practice

    kanzi monkey replied to BCgradnurse's topic in Nurse Practitioners, NP

    My first NP job (the one I have now) is pretty specialized. When I was applying I found there to be a wide variety of specialty positions open to NPs--and many were open to new grad applications. If...

  7. Advice for calling consults

    kanzi monkey posted a topic in Nurse Practitioners, NP

    For all you inpatient NPs/PAs--do you have any sound advice on techniques for requesting specialist consults on your patients? I do this on a pretty regular basis, generally under the instruction of...

  8. Advice for calling consults

    kanzi monkey replied to kanzi monkey's topic in Nurse Practitioners, NP

    Yup, I think you are totally spot on. And really, at the end of the day, the biggest problem I'm having is that I am "letting it bother me". None of it is personal in the hospital. Or rather, even...

  9. Advice for calling consults

    kanzi monkey replied to kanzi monkey's topic in Nurse Practitioners, NP

    Yeah, I've turfed a couple. Hated doing it--feels "failury". But it's about getting the patient seen, so ultimately it's just my ego and the senior's schedule that get burned. The thing is, these are...

  10. "And what would you like me to do about it?"

    kanzi monkey replied to LouisVRN's topic in General Nursing

    You are my

  11. Tonight's Boston Med: nurses featured!

    kanzi monkey replied to HappyNurse2005's topic in General Nursing

    Hi PatMac :) just want to point out that there is a HUGE difference between customer service and nursing. Sure, when things are going smoothly, ideally the two shall blend like a yummy cappucino. But...

  12. The "risk my license" game

    kanzi monkey replied to Orca's topic in General Nursing

    Orca, I'm wondering if these instances you are describing may be "teachable moments". That is, maybe the LPN is refusing to pass a particular med that she believes she cannot give (ie, an IV push med...

  13. math question

    kanzi monkey replied to lake girl's topic in General Nursing

    Orders shouldn't be written in tsps, tbsps, mL, etc without clarifying what the dose is. The question was missing information (how many units the pt was supposed to get). A nurse would be right to...

  14. Did i handle this situation correctly???

    kanzi monkey replied to marielina85's topic in General Nursing

    I'd talk to the patient about his diabetes a bit to get a sense of his history. Then spend a moment perusing his record. If he seemed to have a good understanding of his disease and treatment...

  15. Is leaving the premises and coming back considered job/ patient abandonment?

    kanzi monkey replied to lashuna1028's topic in General Nursing

    I know that technically if you are required to be on site, you are required to be paid. I can't remember if this is my state or if this is a federal law. But it is extremely

  16. Alright to have your husband start an IV on your patient?

    kanzi monkey replied to Nurse Joey's topic in General Nursing

    I think this is all the information you need, mainly that the patient needed a transfusion. Starting a peripheral line and getting the transfusion going by people who are trained and qualified to do...

  17. why do doctors order more vitamin d tests than anything?

    kanzi monkey replied to PopeJane3rd's topic in General Nursing

    Please support all of this with evidence. Including milk being a "natural" source of vitamin D. There was no "caught with their pants down" moment here. Seriously....

  18. why do doctors order more vitamin d tests than anything?

    kanzi monkey replied to PopeJane3rd's topic in General Nursing

    milk is fortified with vitamin d--there is as much vitamin d in skim milk as there is in whole milk. high fat dairy products are implicated in the development of type 2 diabetes and obesity. there are...

  19. MRSA, Is this true?

    kanzi monkey replied to cute2's topic in General Nursing

    People say that all the time, but it's not true at all. You may be more likely to be colonized than an non-hcp, but you are not likely to be colonized. Many people are colonized with SA as part of...

  20. What makes CRNA's unique?

    kanzi monkey replied to drum0's topic in General Nursing

    Just noticed that someone posted this. The article focuses on the financial aspect, but gives a decent description of CRNAs nonetheless...

  21. Vent: Recognition from employer

    kanzi monkey replied to tokmom's topic in General Nursing

    This whole thread makes me want to stick a pencil in my eye.:nuke: Not because of you, OP, just because, well, I've been there, felt like poo, told myself not to feel like poo, felt more like poo, etc...

  22. Help me! Desperate for this job!

    kanzi monkey replied to AlishaNHayzley's topic in Nurse Practitioners, NP

    Can you get a copy of the practice guidelines? Those should delineate the NP role and give you a better sense of what you will be accountable for. In my state an ANP license is the general requirement...

  23. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    kanzi monkey replied to Penelope_Pitstop's topic in General Nursing

    When you received report on this patient, did you ask about blood sugar? I know it's difficult to anticipate every question you might like answered when you're taking report on multiple patients, but...

  24. Best Doc Stories

    kanzi monkey replied to country mom's topic in General Nursing

    One senior resident I worked with as a new grad was just a good person and phenomenal physician. Kind, gentle, soft-spoken, good sense of humor. Considered each and every nursing concern or request...

  25. Had a Brain-fart on this one....

    kanzi monkey replied to OhioCCRN's topic in General Nursing

    You can't. Oh sure you can, but seriously, at this point I think cryptic, awkward silence is your best bet. No reason to respond to that, she is not being hospitalized for racism (though someone...